不同手术方式在扁桃体切除术中的应用

doi:10.3969/j.issn.1671-7171.2021.11.012

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Abstract 【Objective】To evaluate the advantages and disadvantages of conventional approach, monopolar electrocautery, ultrasonic knife,plasma knife in tonsillectomy. 【Methods】A total of 116 cases of tonsillectomy were collected and divided into 4 groups: the traditional tonsillectomy group ( group A,n=29), monopolar electrocautery group ( group B,n=29) ,ultrasound knife tonsillectomy group ( group C,n=29) and coblation tonsillectomy group ( group D,n=29) The operation time,intraoperative blood loss,postoperative sore throat situation,white film shedding time,postoperative bleeding and complications were recorded and compared among all groups.【Results】Compared to the group A, the operation time was shorter and the intraoperative blood loss was less in the group B, C and D. The white film shedding time was longer in group B,C and D than in group A. However, there were no statistically significant differences among group A, B and C (P>0.05). The degree of pharyngeal pain in the first three days after surgery in group C and in group D was significantly lower than that in group A and group B; while there was no difference among the four groups of patients with pharyngeal pain on the 4 to 6 days after operation (P>0.05). There was also no significant difference in postoperative bleeding among group A,B,C and D.【Conclusion】 electrocautery Monopolar electrocautery, ultrasonic knife and coblation tonsillectomy are the more safe and effective methods, which provides favorable clinical value.

Key words： Tonsillectomy/MT Electrosurgery/MT

Received: 16 March 2021

PACS:

R692.31

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2021.11.012 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2021/V38/I11/1643

[1] TEMPLE R H,TIMMS,M S. Paediatric coblation tonsillectomy[J].Int J Pediatr Otorhinolaryngol,2001, 61(3): 195-198.
[2] 王志斌. 扁桃体切除术简史[J].中华医史杂志, 2003(4): 48-50.
[3] GONÇALVES AI, RATO C, DE VILHENA D,et al.Evaluation of post-tonsillectomy hemorrhage and assessment of risk factors[J].Eur Arch Otolaryngol,2020,277(11): 3095-3102.
[4] 郝岩梅,郭小东.低温等离子扁桃体切除术和传统扁桃体剥离术对成人慢性扁桃体炎的治疗效果观察[J].山西医药杂志, 2019,48(21): 2666-2668.
[5] 张立庆,杨翠芳,董伟达,等. 低温等离子刀、超声刀及传统方式行扁桃体切除术的比较[J].山东大学耳鼻喉眼学报, 2016,30(3): 56-60.
[6] 磨宾宇,戴文斌,孙文忠,等;高频电刀对扁桃体组织热损伤的研究[J].实用医学杂志,2013,29(21):3556-3558.
[7] 庹华为, 黄志纯,冯旭,等. 超声刀扁桃体切除术的临床病理研究[J].中国耳鼻咽喉头颈外科, 2015,22(5): 261-264.
[8] ROJE Z,DOGAS Z,RACIC G,et al.Postoperative morbidity and histopathologic characteristics of tonsillar tissue following coblation tonsillectomy in children: a prospective randomized single-blind study[J].Coll Antropol,2009,33(1): 293-298.
[9] OZKIRIS M,KAPUSUZ Z,SAYDAM L.Comparison of three techniques in adult tonsillectomy[J].Eur Arch Otorhinolaryngol,2013,270(3) : 1143-1211.
[10] 宋晓环.病理学[M].长春:吉林大学出版社,2012.
[11] LIBOON J,FUNKHOUSER W,TERRIS D J.A comparison of mucosal incisions made by scalpel,CO₂ laser,electrocautery,and constant-voltage electrocautery[J].Otolaryngol Head Neck Surg,1997,116(3):379-385.
[12] 王春燕,王建军,赵励.术腔缝合对比双极电凝烧灼在低温等离子射频消融扁桃体切除术中的前瞻性研究[J].中国实用医药,2019,14(1):20-22.
[13] 张庆翔,胡慧英,李光飞,等.针式电刀扁桃体切除与扁桃体传统剥离术后出血的比较[J].中国眼耳鼻喉科杂志,2012,12(4):241-242.
[14] TVINNEREIM M,MITIC S,HANSEN R K.Plasma radio frequency preceded by pressure recording enhances success for treating sleep-related breathing disorders[J].Laryngoscope,2007,117:731-736.
[15] 左红霞,牛玉明,张超,等.低温等离子术与电刀凝切术对扁桃体切除患者临床疗效的Meta分析[J].湖北医药学院学报,2020,2:147-157.
[16] 左红霞,牛玉明,张超,等.两种扁桃体切除术临床疗效对比的Meta分析[J].循证护理,2020,2:104-115.
[17] 张春林,李春雷,刘兆辉,等.等离子扁桃体切除术与常规扁桃体剥离术后出血的Meta分析[J].重庆医学,2012,41:1507-1510.